Healthcare Provider Details

I. General information

NPI: 1285479170
Provider Name (Legal Business Name): WHITNEY HILL THOMPSON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 W 325 S
MAPLETON UT
84664-4312
US

IV. Provider business mailing address

2210 W 325 S
MAPLETON UT
84664-4312
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11773890-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: